Previously I was using Oral Contraceptive Pills, which I stopped more than one month back. Then, we shifted to natural contraceptive methods. However, this time, my period was delayed by about 5-6 days and moreover, the period lasted for a much shorter duration of only 2-3 days against a normal duration of 4-6 days. I may point out that I had cystitis about a month back but that was treated. Now, for last 2-3 days, I am feeling very tired, nauseous and have to go wash room every now and then. What could be the reason? Is it due to pregnancy or due to recurrence of cystitis? Please explain in simple terms.
Answer (by Dr. Neelam Dhamija): As has been mentioned in your complaints, you had periods for 2-3 days but if the flow was good then most likely you are not pregnant. You have not mentioned that how many days back you had periods. But still you can clear your doubts by either urine pregnancy test or blood test for beta hCG levels. If urine pregnancy test is negative you can repeat it after 7-10 days. If you are going for blood levels of hCG test then you need to repeat it after 48 hours. In a healthy pregnancy the level of hCG doubles every 72hours. Therefore, value of hCG >25mIU/ml and rising levels of hCG in the blood will confirm that you are pregnant. From your complaints it appears that you are again suffering from cystitis (inflammation of urinary bladder). Going repeatedly to the wash room can be because of infection in the urine or cystitis. To confirm this, please get complete urine examination and culture and sensitivity test of urine done. This test will confirm the type of bacteria causing infection and the necessary antibiotic to be given to you. Drink plenty of water, plenty of fruit juices (fruit juices helps in making urine alkaline), a course of antibiotics along with a syrup to make your urine alkaline is all that may be required for you. Your nausea can be due to acidity, so have food on time, avoid spicy food, and you may also take medicine for acidity. However consult your doctor with all the relevant test reports for your treatment.